Individual
BRIAN M TVELIAJR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 LAKE AVENUE NORTH, DEPARTMENT OF PSYCHIATRY, WORCESTER, MA 01655
(774) 303-2986
Mailing address
55 LAKE AVENUE NORTH, DEPARTMENT OF PSYCHIATRY, WORCESTER, MA 01655
(774) 303-2986
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0338RC
MA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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